Active NPI
Emily Johnson Purry, MS, LMT
- Contractor
- Beaverton, OR
National Provider Identifier
1942542477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 12319
- Practice address
- 18573 SW Muirfield St
Beaverton, OR 97006-3189 - Phone
- (503) 516-5383
- NPI assigned
- Mar 22, 2013
- Last updated
- Mar 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 12319 | OR | Primary |
Addresses
Primary practice location
18573 SW Muirfield St
Beaverton, OR 97006-3189
Mailing address
18573 SW Muirfield St
Beaverton, OR 97006-3189
Phone (503) 516-5383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12319 | OR | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1942542477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18573 SW MUIRFIELD ST",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970063189",
"telephone_number": "503-516-5383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18573 SW MUIRFIELD ST",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970063189",
"telephone_number": "503-516-5383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURRY",
"first_name": "EMILY",
"middle_name": "JOHNSON",
"credential": "MS, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-22",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OR",
"license": "12319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.